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Mengato D, Zanin A, Russello S, Baratiri F, Roverato B, Realdon N, Benini F, Venturini F. Taking care of caregivers: enhancing proper medication management for palliative care children with polypharmacy. Eur J Hosp Pharm 2024:ejhpharm-2024-004282. [PMID: 38960451 DOI: 10.1136/ejhpharm-2024-004282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024] Open
Affiliation(s)
- Daniele Mengato
- Hospital Pharmacy Department, Azienda Ospedale Università Padova, Padova, Veneto, Italy
| | - Anna Zanin
- Palliative Care and Pain Service, University of Padua Department of Women's and Children's Health, Padova, Veneto, Italy
| | - Simona Russello
- University of Padua Department of Pharmaceutical and Pharmacological Sciences, Padova, Veneto, Italy
| | - Fernando Baratiri
- University of Padua Department of Women's and Children's Health, Padova, Veneto, Italy
| | - Barbara Roverato
- Palliative Care and Pain Service, University of Padua Department of Women's and Children's Health, Padova, Veneto, Italy
| | - Nicola Realdon
- University of Padua Department of Pharmaceutical and Pharmacological Sciences, Padova, Veneto, Italy
| | - Franca Benini
- Palliative Care and Pain Service, University of Padua Department of Women's and Children's Health, Padova, Veneto, Italy
| | - Francesca Venturini
- Hospital Pharmacy Department, Azienda Ospedale Università Padova, Padova, Veneto, Italy
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Wan J, Vaughan A, Shepherd E, Coombs S, Trethewie S, Jaaniste T. Evaluation of paediatric palliative care ambulance plans: A retrospective study. J Child Health Care 2024:13674935231225714. [PMID: 38262591 DOI: 10.1177/13674935231225714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
Paediatric Palliative Care Ambulance Plans ('Plans') are used by New South Wales Ambulance (Australia) to support the care needs of children with life-limiting conditions. We aimed to describe the population of children with Plans and provide details regarding Plan completion, paramedic responses during ambulance callouts, and correspondence between Plan recommendations and paramedic responses. Plans lodged in January 2017-December 2019 were retrospectively coded for demographic information, completeness and care preferences. Associated paramedic callout notes (January 2018-December 2019) were coded for paramedic responses. Of 141 Plans retrieved, 38 (41.3% of those providing suggested medications) suggested medication use outside general paramedic scope of practice. Of 199 associated ambulance callouts, reasons for callout included symptom management, planned transfer, death notification and end-of-life care. Over two-thirds of callouts (n = 135, 67.8%) occurred after-hours. Most paramedic callouts (n = 124, 62.3%), excluding planned transfers, resulted in children being transported. Paramedic interventions corresponded with interventions suggested in Plans. However, only 24 (25.3%) of paramedic callout notes documented Plans being sighted. This study provided detailed information about children with palliative care needs for whom Plans were being used, the nature of these Plans and associated paramedic callouts. However, it is not known how paramedics were influenced by Plans.
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Affiliation(s)
- Julianna Wan
- Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia
- Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | | | - Elizabeth Shepherd
- Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia
| | - Sandra Coombs
- Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia
| | - Susan Trethewie
- Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia
- Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Tiina Jaaniste
- Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia
- Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia
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